NPI | 1548341449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 406) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3309-125) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2007-07-08 |